[27F] With severe intermittent abdominal pain and ovarian cyst

Patient Description

A 27-year-old female with a history of cholecystectomy and gastric sleeve surgery was diagnosed with an ovarian cyst six days ago. She is experiencing sudden, severe lower abdominal pain that comes and goes in intervals, described as dull and cramping. The pain intensifies to a 9 out of 10 on the pain scale when not using a heating pad, lasting for a few minutes before subsiding and then recurring. Accompanying symptoms include nausea, gas, and bloating. The patient has a Mirena IUD and does not experience menstrual periods. There is no unusual vaginal discharge or bleeding reported. The patient is unsure about having a fever and mentioned possible recent sexual activity. No known allergies.

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Arora's Assessment

What might be happening

Based on your symptoms of sudden, severe, intermittent abdominal pain, nausea, gas, and bloating, it's possible that your ovarian cyst could be causing complications such as torsion or rupture. Both conditions can lead to significant pain and require immediate medical attention. Torsion occurs when the cyst causes the ovary to twist, potentially cutting off its blood supply. A ruptured cyst can also cause severe pain and internal bleeding.

What you can do

It's important to seek medical care immediately. Please visit an emergency room or urgent care center to get evaluated. If the pain becomes unbearable or you experience dizziness, fainting, or a rapid heartbeat, call 911 or have someone take you to the hospital right away. Avoid any strenuous activity until you've been assessed by a healthcare professional.

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3 mo ago

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People Also Ask

What are the potential complications of an ovarian cyst?

Potential complications of an ovarian cyst include torsion, where the cyst causes the ovary to twist, potentially cutting off its blood supply, and rupture, which can lead to severe pain and internal bleeding. Both conditions require immediate medical attention.

How can I differentiate between normal abdominal pain and pain that requires medical attention?

Abdominal pain that is sudden, severe, and intermittent, especially if accompanied by symptoms like nausea, dizziness, fainting, or a rapid heartbeat, should be evaluated by a healthcare professional as it may indicate a serious condition.

Can an ovarian cyst affect my IUD or vice versa?

An ovarian cyst generally does not affect an IUD, and vice versa. However, if you experience severe pain or other symptoms, it's important to consult a healthcare provider to rule out any complications.

What are the signs that an ovarian cyst has ruptured or twisted?

Signs that an ovarian cyst has ruptured or twisted include sudden, severe abdominal pain, nausea, vomiting, dizziness, fainting, and rapid heartbeat. These symptoms require immediate medical evaluation.

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